NPIMap

Organization Active NPI

Little Stars Pediatrics PLLC

  • Pediatrics Physician
  • Prosper, TX
National Provider Identifier
1104584721
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LITTLE STARS PEDIATRICS PLLC
Practice address
2120 Prairie Dr Ste 102
Prosper, TX 75078-3818
Phone
(972) 544-9455
Fax
(972) 544-9465
NPI assigned
Dec 1, 2021
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pragadeeswari Dhanasekaran, MDNPI 1366975336
Title
Director
Phone
(972) 544-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2120 Prairie Dr Ste 102
Prosper, TX 75078-3818

Mailing address

2120 Prairie Dr Ste 102
Prosper, TX 75078-3818
Phone (972) 544-9455

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1104584721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 102",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783818",
            "telephone_number": "972-544-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 102",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783818",
            "telephone_number": "972-544-9455",
            "fax_number": "972-544-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE STARS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DHANASEKARAN",
        "authorized_official_first_name": "PRAGADEESWARI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-544-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR API",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 Prairie Dr Ste 102",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750783818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.